Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Maxwell Hardack

Individual provider Dentist · NPI 1730871625

Maxwell Hardack is a Dentist in Fort Myers, Florida. Licensed in Arizona and Florida. Registered with an NPI since 2023.

Licensed in
AZ, FL
In the registry since
2023
Specialties on file
3
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Practice location Address checks out

6871 Daniels Pkwy Ste 100
Fort Myers, FL 33912-1510
Phone: (561) 414-9050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence DN28968 (FL)
Dentist Taxonomy 122300000X · Licence D011903 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1730871625
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 22, 2023
Last updated in NPPESJuly 10, 2024
Certification dateJuly 10, 2024
Mailing address22076 Seashore Cir, Estero, FL 33928-4302

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